Public Behavior Change, Perceptions, Depression, and Anxiety in Relation to the COVID-19 Outbreak
Public Behavior Change, Perceptions, Depression, and Anxiety in Relation to the COVID-19 Outbreak
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与 COVID-19 爆发相关的公众行为变化、看法、抑郁和焦虑
DOI：
10.1093/ofid/ofaa273
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发表时间：
2020-08-01
影响因子：
4.2
通讯作者：
Wu, Renrong
中科院分区：
文献类型：
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作者：
Huang, Jing;Liu, Fangkun;Wu, Renrong
背景新型冠状病毒感染症（COVID-19）在国际上迅速蔓延，引发了公众的恐慌和心理问题。公众保护行为和认知在控制疾病传播和心理状态方面起着至关重要的作用。方法在疫情最严重的湖北省和全国其他受新冠肺炎疫情影响的地区进行横断面在线调查。包括基本信息、对COVID-19疫情的认知、近期预防或回避行为以及自我报告的心理健康量表（包括患者健康问卷和焦虑自评量表）。二元逻辑回归用于调查个人变量/感知与心理困扰之间的关系。结果共纳入6261人，其中湖北省3613人（57.7%），武汉市1743人。大多数人都采取了预防和回避的行为。有接触史的湖北人、感染人群或家庭成员感染的湖北人抑郁和焦虑的患病率更高。提供真实和充分的信息，告知公众疾病的严重性，以及认识到可以通过保护性行为控制疫情，这些都与抑郁和焦虑的患病率较低有关。结论对疫情期间公众的反应、认知和心理负担进行评估有助于完善公共卫生建议，及时提供心理干预。进一步的研究可以关注一个特殊群体的心理状况，以确定基于公众反应和心理需求提供更好支持的方法。
Abstract Background COVID-19 has spread rapidly and internationally, which has elicited public panic and psychological problems. Public protective behaviors and perception play crucial roles in controlling the spread of illness and psychological status. Methods We conducted a cross-sectional online survey in the hardest-hit Hubei province and other areas in China affected by the COVID-19 outbreak. Questions about their basic information, the perception of the COVID-19 outbreak, recent preventive or avoidance behaviors, and self-reported mental health scales including the Patient Health Questionnaire and Self-Rating Anxiety Scale were included. Binary logistic regressions were used to investigate the association between personal variables/perceptions and psychological distress. Results A total of 6261 people were included in the analysis, with 3613 (57.7%) in Hubei province (1743 in Wuhan). The majority of people have adopted preventive and avoidance behaviors. People from Hubei, with contact history, and people who were infected or whose family members were infected had a much higher prevalence of depression and anxiety. Providing truthful and sufficient information, informing the public about the severity of the disease, and perceptions that the outbreak can be controlled by protective behaviors were associated with lower prevalence of depression and anxiety. Conclusions Assessing the public response, perception, and psychological burden during the outbreak may help improve public health recommendations and deliver timely psychological intervention. Further research may focus on the psychological status of a specialized group to identify methods of delivery of better support based on public response and psychological demand.